MEDICARE: MARIE SHEBECK COUNSELING SERVICES, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1164240362
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARIE SHEBECK COUNSELING SERVICES, PLLC

Provider Business Mailing Address
First Line	:	1563 W PRATT BLVD APT 1D
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60626-5707
Country	:	US
Telephone Number	:	317-908-2292
Fax Number	:

Provider Business Practice Location Address
First Line	:	1563 W PRATT BLVD APT 1D
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60626-5707
Country	:	US
Telephone Number	:	317-908-2292
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MARIE E SHEBECK
Credential	:	LCSW
Telephone Number	:	317-908-2292

Provider Enumeration Date	:	09/27/2024
Last Update Date	:	09/27/2024

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